Bibliographic record
Abstract
It currently estimated that three in five Canadians suffer from some form of chronic disease with recent trends showing rates of such conditions still rising. Moreover, in Canada, the cost of treating chronic illness is increasing faster than national economic growth. In response to this growing concern, various programs and initiatives have been implemented to mitigate the personal, social and economic effects of chronic disease. The objective of this study is to identify factors influencing the implementation of technology-based chronic care model within the team-based, primary care setting. Data for this single-embedded case study was collected using a variety of methods including; observation, semi-structured interviews, and document analysis. Coding of data was conducted using a deductive code list based on the Consolidated Framework for Implementation Research. Coder reliability was tested with the assistance of two additional coders. The findings from this study will provide case-specific glance into various factors contributing to the implementation of a chronic care model in the team-based, primary care setting. While each healthcare team is unique in composition and is influenced by different environmental and contextual factors, the aim of this study is to identify elements of program implementation that could be improved in future efforts.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.010 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.013 | 0.004 |
| Scholarly communication | 0.004 | 0.002 |
| Open science | 0.003 | 0.004 |
| Research integrity | 0.004 | 0.004 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".